Augmentative and alternative communication (AAC) technology is recommended for individuals with significant communication disorders, who may have motor limitations and other challenges that impact quality of life (QOL). The goal of AAC treatment is to optimize communication. This article presents innovations to the primary, secondary, and tertiary AAC components that are considered by rehabilitation clinicians when matching people with technology (MPT). Language considerations are paramount to the MPT process, and innovations are discussed on how features may enhance language performance. AAC technology has made performance and outcome gains contributing to the QOL of people who cannot speak.